TARA MARIE VIVENZIO

SPRINGFIELD, MA
NPI1578960126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2014-11-25
Last Update Date2014-11-25
Business Address
TARA MARIE VIVENZIO
65 NORMAN ST
SPRINGFIELD, MA 01104-1268
Phone number: 413-262-8318
Mailing Address
TARA MARIE VIVENZIO
65 NORMAN ST
SPRINGFIELD, MA 01104-1268
Phone number: 413-262-8318
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